Active NPI
Renaissance Case Management Services
- Case Manager/Care Coordinator
- Houston, TX
National Provider Identifier
1003090473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 2-55949
- Legal business name
- RENAISSANCE CASE MANAGEMENT SERVICES
- Practice address
- 4141 Southwest Fwy
Suite 510
Houston, TX 77027-7313 - Phone
- (713) 528-2097
- Fax
- (713) 665-7702
- NPI assigned
- Dec 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Graves, RN, BSN, CPT, MT,
- Title
- Case Manager
- Phone
- (713) 528-2097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 2-55949 | TX | Primary |
Addresses
Primary practice location
4141 Southwest Fwy
Suite 510
Houston, TX 77027-7313
Mailing address
4141 Southwest Fwy
Suite 510
Houston, TX 77027-7313
Phone (713) 528-2097
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043494404 | Medicaid | TX | |
| 1194857821 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
4141 Southwest Fwy
Ste 510
Houston, TX 77027
Phone (713) 528-2097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198195200000",
"number": "1003090473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 SOUTHWEST FWY",
"address_2": "SUITE 510",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277313",
"telephone_number": "713-528-2097",
"fax_number": "713-665-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 SOUTHWEST FWY",
"address_2": "SUITE 510",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277313",
"telephone_number": "713-528-2097",
"fax_number": "713-665-7702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAISSANCE CASE MANAGEMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-21",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CASE MANAGER",
"authorized_official_telephone_number": "713-528-2097",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN, BSN, CPT, MT,"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "2-55949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043494404",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194857821",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.